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NCCT Phlebotomy
Part II Review and Reference
Question | Answer |
---|---|
The heart, lymphatic organs and blood vessels are in the ______system | Cardiovascular |
The Forearm vein most commonly used for venipuncture | Medial Cubital |
The smallest veins in the human body | venules |
The aorta branches into smaller divisions called arteries which in turn branches into even smaller divisions called | Arterioles |
Characteristics of capillaries include | Having thin walls Forming microscopic pathways Connecting arterioles with venules |
Within the capillaries blood cell functions include | Releasing oxygen Binding carbon dioxide Eliminating waste |
The suffix -URIA at the end of a medical term refers what body location | Urine |
The study of blood is known as | Hematology |
The liver stomach mouth and pancreas are in the _____system | Digestive |
The most important step to ensure accuracy in sample collection is | Identifying the patient properly |
The bladder, kidneys, urethra, and ureters are in the _______system | Urinary |
The trachea, nose, lungs, and pharynx are in the _____system | Respiratory |
The sebaceous glands, skin, hair , and nails are in the ________system | Integumentary |
The body system that is the primary regulator of hormones is the _______system | Endocrine |
Neutrophils, eosinophils, basophils, lymphocytes and monocytes are types of______ | White blood cells |
The common name for thrombocyte is________ | Platelet |
The liquid portion of an anticoagulated blood sample is known as __________ | Plasma |
The instrument that measures blood pressure is called | sphygmomanometer |
An artery can be distinguished from a vein because an artery will be_______ | Pulsating |
Lancets are used to collect blood samples by | Capillary or skin puncture |
The abbreviation VAD is commonly used in hospitals to refer to _________ | Venous access devices |
To determine the size of a needle, remember that the higher the gauge the __________ | the smaller the needle bore |
Adult capillary punctures most often involve use of the _______finger | Third and fourth finger |
A centrifuge is used in a clinical laboratory setting to_____ | separate liquid from cells in blood |
TH oral glucose tolerance test is used for detection of_______________ | Diabetes |
Use a _______-top evacuated tube for collection of blood for CBC test | Lavender |
Use a _______top evacuated tube for collection of blood for electrolyte testing | Red |
Sodium citrate is an anticoagulant of choice for coagulation studies because it protects | Clotting factors |
When preparing a blood smear directly from a skin puncture, it is best to_______ | wipe away first drop of blood |
The order of draw recommended by CLSI (2007) for the tubes listed | 1. Blood Culture tube 2. Coagulation tube (BLUE) 3. Serum tubes (RED) w/ or w/o clot activator gel 4. Heparin tube (GREEN) w/ or w/o gel plasma separator 5. EDTA (LAVENDER) 6. Glycolytic inhibitor |
The purpose of doing blood cultures is to detect____ | septicemia |
Anticoagulants are used to_______ | Prevent blood from clotting |
White blood cells help the body by________ | Defending against foreign invaders |
Platelets help the circulation by | Participating in hemostasis |
When blood seeps into the surrounding tissue during venipuncture, a _________may form. | Hematoma |
In a patient with a clotting disorder, pressure should be applied to the puncture site for at least ________after venipuncture to insure blood stoppage | 5 minutes |
Skin punctures may be indicated for use when________ | 1.The patient is an infant, toddler, or preschooler 2.only a small amount of blood is needed 3. Patient veins need to be preserved for IV therapy |
All specimens should be labeled with________ | 1.Patient's name and (numeric ID) 2. Date and time the specimen was drawn 3.Collectors initials |
When performing a skin puncture, squeezing the finger too tightly may dilute the blood with _________and ruin the test | Tissue fluid |
One test often used to assess hemostasis before surgery is__________ | Bleeding time |
One possible cause of unexpected clotting in an anticoagulated blood tube might be | Insufficient mixing |
When performing a venipuncture, position the bevel of the needle _______ | facing up |
If blood does not appear in an evacuated tube upon venipuncture, a phlebotomist's first course of action should be to_________ | Slightly re-position or turn the needle |
Redirecting a needle during venipuncture is sometimes necessary when | 1.the vein was not properly anchored 2.The patient moves unexpectedly 3.Blood flow starts, and then stops |
A vein might be prone to collapse if the__________ | 1.Vacuum tube is too large for vein 2.syringe plunger was pulled back too quickly |
Hemolysis would cause rejection of a sample collected for_______testing | Potassium |
If a patient is prone to syncope during a venipuncture, the phlebotomist should | watch in case of fainting |
A tube of blood that arrives in the laboratory without a label must be | Rejected automatically |
If a blood sample should be collected 2 hours post-prandial, the phlebotomist should collect the sample | 2 hours after a meal |
Knowing when to collect peak and trough levels is important when drawing | Therapeutic drugs |
A pre-warning technique may be used to | Increase patient's tendency to bleed |
The role of all anticoagulants is ultimately to prevent formation of_______ | Fibrin |
The anticoagulant EDTA works by | Binding calcium |
If the tourniquet is not released before the needle is withdrawn from the arm during venipuncture, this will most likely result in_______ | Bleeding from the site |
This test is light sensitive | Bilirubin |
The______must be followed exactly whenever drawing a patient test samples that may be used in a legal proceeding | Chain of Custody |
The anticoagulant SPS ( sodium polyanetholesulfonate ) is recommended for use in blood cultures because it_________ | Does not inhibit bacterial growth |
Before entering a inpatient room if the *door is closed*, phlebotomist should always________ | Knock, ask for permission to enter and check for isolation signage |
Before entering a designated *Isolation rooms*, phlebotomist should always | Check requirements on signs |
The single most important means of preventing the spread of infection in a hospital is by________ | Hand washing |
The most prevalent type of nosocomial infections are those of the_______ | Urinary tract |
Phlebotomist have a statistically greater chance of contacting _________in a work-related incident than they do of contracting AIDS | Hepatitis |
AIDS is caused by | HIV virus |
When performing a heelstick on infants in a hospital nursery, it is important never to | Share supplies from one infant to another |
When delivering blood samples to a laboratory, they should always be transported | Inside sealed plastic bags |
If a biohazard spills in th laboratory, a phlebotomist should first try to__________ | contain the spill |
According to OSHA, a contaminated needle may be safely discarded into a _______ | Sharps container |
In most hospitals, a phlebotomist with a cough may draw blood from a patient provided the________ | 1.Patient is not in reverse isolation 2.phlebotomist wears a mask 3.Phlebotomist does not have a fever |
When drawing blood from pediatric inpatients, a phlebotomist can increase safety for patients by _________ | 1.getting help to hold the patient securely during the draw 2.using a smaller bore needle and smaller collection tubes 3.making sure the bedrails are left raised if found that way |
To eliminate bacteria from the skin of a bacterial culture venipuncture site,_____is sometimes used in addition to alcohol in the skin cleansing process | Iodine |
The term that refers to the right and wrong conduct is________ | Ethics |
An unlawful threat or attempt to do bodily injury to another is | Assault |
Law protects the health worker if it can be determined that he or she acted reasonably as compared with fellow workers; this is called | reasonable care |
Negligence by a professional person is called | Malpractice |
The ability to see things from another person's point of view is______ | empathy |
A violation of a person's right not to have his or her name, photograph, or private affairs made public without given consent is _____ | Invasion of privacy |
Information given by a patient to medical personnel that cannot be disclosed without consent constitutes_______ | Privileged communication |
Failure to do something a reasonable person would do under ordinary circumstances, or doing something a reasonable person would not do under ordinary circumstances thereby causing harm to another person is called_______ | Negligence |
Permission granted by a person voluntarily (and in his right mind)is_______ | consent |
A phlebotomist who attempts to draw blood without sufficient training could be accused of___________if the procedure is performed incorrectly, causing harm to the patient | Incompetence |
Forcing venipuncture on a patient who has refused it would be considered_______ | Battery |
The branch of study of moral issues, questions,and problems arising in the practice of medicine and biomedical research is called | Bioethics |
Conduct, Courtesy and Manners, customary in the medical profession, is called______ | Medical Etiquette |
each and every patient is entitled to_______as part of his/her patients rights | respect and complete care |
Some suggested methods for controlling on the job stress during phlebotomy might include_____ | Taking deep breaths if anxious |
An appropriate means of communicating with a patient who is profoundly hearing impaired might include_______ | Using written communication |
In performing phlebotomy on children, it is best to________ | 1.Talking softly and gently 2.enlist the help of parents 3.tell the truth if asked |
In approaching and elderly patient, it is appropriate to call the patient by name using_____ | Miss, Mrs. or Mr. |
A patient who is making a fist and frowning is exhibiting______body Language | Uncooperative |
A rubber or plastic tube used to drain or inject fluid through a body opening is called______ | Catheter |
A 24-hour urine specimen must be kept________ | refrigerated |
A chronic disease in which the pancreas fails to secrete enough insulin is called________ | Diabetes Mellitus |
The purpose of the Bleeding Time test is to assess_______ | Platelet plug formation in the capillaries |
Diurnal rhythms refer to cariations in the body's functions or fluids that occur during_______ | Every 24 hours |
EMLA is an emulsion of lidocaine and prilocaine that can be used to_______ | Topically anesthetize a draw site |
Another name for red blood cells is | Erythrocytes |
The artery located in the groin, lateral to the femur bone, which is used as an alternative site for arterial blood gas collections is the______ | Femoral |
The federal law that was expanded in 2000 to protect the confidentiality of electronically stored health information is abbreviated as________ | HIPPA |
The study of all aspects of disease in the body is known as | Pathology |
The phase of laboratory testing that refers to test orders, test collection and test samples preperation are all part of the ______phase | Pre-analytical |
A patient in reverse isolation has been so placed because s/he________ | Needs protection from others carrying infection |
EDTA | Anticoagulant in LAVENDER top tubes |
NaCitrate | Anticoagulant in BLUE top tubes |
ABG | Arterial Blood Gas |
FUO | Fever of Unknown Origin |
STD | Sexually Transmitted Disease |
H&H | Hemoglobin and Heatocrit |
CBC | Complete Blood Count |
Electrolytes | Red top or Speckled tub |
QC | Quality Control |
CDC | Center for Disease Control |
_______are contaminated objects that can penetrate the skin including, but not limited to needles, scalpels, broken glass, broken capillary tubes, and exposed ends of dental wires | Contaminated sharps |
Reasonable possibility of skin, eye, mucous membrane, or parenteral contact with blood or other potentially infectious materials that may result from the performance of an employee's regular duties is termed | Occupational exposure |
Examples of "Personal Protective Equipment" | Gloves.Aprons,Mask |
To use a physical-chemical procedure to destroy all microbial life including highly resistant bacterial endospores is to | Sterilize |
______is the single most important source of HIV and HBV in the workplace. | Blood |
OSHA requires that training and educational information on bloodborne pathogens be provided to hospital or clinical employees | At no cost to them |
All workers who jobs involve participation in task or activities with exposure to blood or other body fluids, to which universal precautions apply, should be vaccinated with a ______vaccine | Hepatitis B |
After they are used, disposable syringes and needles, scalpel blades and other sharp items, should be placed in __________containers for disposal | Puncture resistant |
Broken glassware that may be contaminated should be picked up by________ | Mechanical Means (broom/dustpan) |
Contaminated laundry should be__________where it was soiled. | Bagged or containerized at the location |
A specific eye, mouth, other mucous membrane, non-intact skin, or parenteral contact with blood or other potentially infectious materials that results from the performance of an employees duties in called | Exposure Incident |
In the health care field when all evaluated services and the results compare with accepted standards, principles of________have been used | Quality Assurance |
The federal government requires that specimens are transported or shipped in_______ | watertight containers |
The classification the physician's office laboratory (POL) falls into will be determined by__________ | Complexity of laboratory test performed |
Test that basically pose insignificant risk to patients if errors occur in the test performance are called | Waived test |
When you send blood tubes by mail for analysis in a watertight container, they should be enclosed in___________ | Second durable watertight container |
When you send specimens in the mail, the label should state________ | 1. Biohazardous material 2. Incase of breakage, send to CDC 3. Address of Lab |